Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.38 / $1,728.00 / $7,095.00	Facility		$59.38	$1,728.00	$7,095.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,532.44 / $2,532.44 / $2,877.79	Facility	50	$2,532.44	$2,532.44	$2,877.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $96.48 / $206.70	Professional		$48.22	$96.48	$206.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $164.63 / $253.73 / $647.20	Professional	50	$164.63	$253.73	$647.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.15 / $89.60 / $253.38	Professional		$72.15	$89.60	$253.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $108.23 / $134.40 / $376.33	Professional	50	$108.23	$134.40	$376.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $66.03 / $66.03 / $66.03	Facility		$66.03	$66.03	$66.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $66.03 / $114.73	Professional		$66.03	$66.03	$114.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.05 / $81.05 / $14,648.00	Facility		$81.05	$81.05	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $117.55 / $292.38	Professional		$54.32	$117.55	$292.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $62.48 / $332.00	Facility		$35.00	$62.48	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $108.33 / $162.12	Professional		$88.64	$108.33	$162.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $93.52 / $146.99	Professional		$67.76	$93.52	$146.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.52 / $460.80 / $803.89	Facility		$68.52	$460.80	$803.89
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $102.50 / $102.50 / $102.50	Facility	50	$102.50	$102.50	$102.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.89 / $81.89 / $163.79	Professional		$81.89	$81.89	$163.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.05 / $81.05 / $74,999.25	Facility		$81.05	$81.05	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $123.45 / $293.33	Professional		$58.34	$123.45	$293.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $102.94 / $249.17	Professional		$49.28	$102.94	$249.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $50.42 / $50.42 / $177.47	Facility		$50.42	$50.42	$177.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.42 / $95.59 / $161.44	Professional		$65.42	$95.59	$161.44